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Published on: July 9, 2020
Transcaruncular anterior ethmoidal artery ligation
L Fath1, A Léon2, I Djennaoui2
1Service d'ORL et de Chirurgie Cervico-Faciale, Hôpitaux Universitaires de Strasbourg, Hôpital de Hautepierre, 1, avenue Molière, 67200 Strasbourg, France; Unité Inserm 1121 Biomatériaux et Bioingénierie, CRBS, 1, rue Eugène Boeckel, 67000 Strasbourg, France.
Abstract:
Recurrence of epistaxis after ligation or embolization of the sphenopalatine artery may require ligation of the ipsilateral anterior ethmoidal artery, which cannot be embolized because of the risk to the ophthalmic artery. We describe a transconjunctival transcaruncular approach that allows reliable low-risk access to the anterior ethmoidal artery. This technique offers a minimally invasive approach to the surgical site, without unsightly scar.

